Organization
INTEGRATIVE PEDIATRIC GI AND LIFESTYLE MEDICINE
Active
Organization
INTEGRATIVE PEDIATRIC GI AND LIFESTYLE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIMA JIBALY MD (OWNER)
(201) 931-5713
Entity
Organization
Contact information
Practice address
1123 VILLA LINDE CT STE 38, FLINT, MI 48532-3410
(810) 733-7221
(810) 733-7280
Mailing address
7408 WATERFALL DR, GRAND BLANC, MI 48439-7102
(201) 931-5713
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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